| NPI | 1518962190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G177330) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2007-0643) |
| 208000000X Pediatrics (Licence: CO 31040) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2023-05-31 |